Organization Active NPI

Awk3 Enterprise LLC

  • Community/Retail Pharmacy
  • Sweetwater, TX
National Provider Identifier
1366513913
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25273 Issued in TX
Legal business name
AWK3 ENTERPRISE LLC
Doing business as
MALONEY PRESCRIPTION PHARMACY
Practice address
1405 Hailey St
Sweetwater, TX 79556-2507
Phone
(325) 236-6394
Fax
(325) 236-6374
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann G L Chowning
Title
Pharmacist/Owner
Phone
(325) 236-6394

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 25273 TX Primary

Addresses

Primary practice location

1405 Hailey St
Sweetwater, TX 79556-2507

Mailing address

1405 Hailey St
Sweetwater, TX 79556-2507
Phone (325) 236-6394

Other identifiers 1

IdentifierTypeStateIssuer
2096184OtherPK

Other names 1

  • MALONEY PRESCRIPTION PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303002032 TX Part B Supplier - Mass Immunization (Roster Biller Only) 8921201518 Practice locations: Sweetwater, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1078175Maloney Prescription Pharmacy1405 Hailey St, Sweetwater, TX 79556Certificate of waiverJul 19, 2028

National Provider Directory

National Provider Directory

Locations

1405 Hailey St
Sweetwater, TX 79556
Phone (325) 236-6394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1366513913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562507",
            "telephone_number": "325-236-6394",
            "fax_number": "325-236-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HAILEY ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795562507",
            "telephone_number": "325-236-6394",
            "fax_number": "325-236-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWK3 ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "CHOWNING",
        "authorized_official_first_name": "ANN G L",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "325-236-6394"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALONEY PRESCRIPTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.